Evidence map›Paper›PMID 30949613›Full record

ReviewClinical neurophysiology practice2019

Vestibular evoked myogenic potentials in practice: Methods, pitfalls and clinical applications.

Sally M Rosengren, James G Colebatch, Allison S Young, Sendhil Govender, Miriam S Welgampola

Open access · goldAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Clinical neurophysiology practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 148 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
148citing papers in PubMed, 5 pooled it
16.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

148 citing papers in PubMed, 5 syntheses or guidelines pooled it, 283 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Pooled it
  5. Clinical application of cVEMPs and oVEMPs in patients affected by Ménière's disease, vestibular neuritis and benign paroxysmal positional vertigo: a systematic review.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2019
    Pooled it
  6. Trial
  7. Article
  8. Article
  9. Vestibular deficit and recovery in rare forms of benign paroxysmal positional vertigo with downbeat nystagmus.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  10. Article
  11. Article
  12. The effect of visual scene on VEMP responses.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  13. Article
  14. [BMJ open · 2026
    Article
  15. Article
  16. Article
  17. Assessing vestibular function in patients with vestibular schwannoma: a comprehensive multi-test vestibular evaluation.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  18. Review
  19. Article
  20. Review

88 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Sally M RosengrenNeurology Department and Institute of Clinical Neurosciences, Royal Prince Alfred Hospital, Camperdown, Australia.
James G ColebatchPrince of Wales Hospital Clinical School and Neuroscience Research Australia, Randwick, Sydney, NSW, Australia.
Allison S YoungNeurology Department and Institute of Clinical Neurosciences, Royal Prince Alfred Hospital, Camperdown, Australia.
Sendhil GovenderNeurology Department and Institute of Clinical Neurosciences, Royal Prince Alfred Hospital, Camperdown, Australia.
Miriam S WelgampolaNeurology Department and Institute of Clinical Neurosciences, Royal Prince Alfred Hospital, Camperdown, Australia.
The University of Sydney · AUPrince of Wales Hospital · AURoyal Prince Alfred Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vestibular evoked myogenic potentials (VEMPs) are a useful and increasingly popular component of the neuro-otology test battery. These otolith-dependent reflexes are produced by stimulating the ears with air-conducted sound or skull vibration and recorded from surface electrodes placed over the neck (cervical VEMPs) and eye muscles (ocular VEMPs). VEMP abnormalities have been reported in various diseases of the ear and vestibular system, and VEMPs have a clear role in the diagnosis of superior semicircular canal dehiscence. However there is significant variability in the methods used to stimulate the otoliths and record the reflexes. This review discusses VEMP methodology and provides a detailed theoretical background for the techniques that are typically used. The review also outlines the common pitfalls in VEMP recording and the clinical applications of VEMPs.

Indexed as

AC, air-conductedAR, asymmetry ratioAVS, acute vestibular syndromeBAER, brainstem auditory evoked potentialBC, bone-conductedBPV, benign positioning vertigoBVP, bilateral vestibulopathyCANVAS, cerebellar ataxia, neuropathy and vestibular areflexia syndromecVEMP, cervical vestibular evoked myogenic potentialdBA, decibels, measured using an “A” weightingdB, decibels, the logarithm of the relative power versus a referenceDeg, degreesECG, electrocardiographicEEG, electroencephalographicEMG, electromyographic activity/electromyogramFL, force levelHL, hearing levelIO, inferior obliqueMD, Meniere’s diseaseMethodnHL, normal hearing levelNIOSH, National Institutes of Occupational Safety and HealthOtolithoVEMP, ocular vestibular evoked myogenic potentialPCS, posterior circulation strokePICA, posterior inferior cerebellar arterypkFL, peak force levelpkSPL, peak sound pressure level (3 dB higher than RMS for a sinusoid)PP, peak-to-peakRMS, root mean squareSCC, semicircular canalSCD, superior canal dehiscenceSCM, sternocleidomastoidSL, sensation levelSoundSPL, sound pressure level, being the RMS value for a sinusoidSVH, subjective visual horizontalUW, unilateral weaknessVEMPVEMP, vestibular evoked myogenic potentialVestibularvHIT, video head impulse testVibrationVM, vestibular migraineVN, vestibular neuritisVS, vestibular schwannoma

Identifiers

PMID30949613
PMCPMC6430081
OpenAlexW2915886874

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.